Auriculotemporal syndrome (Frey's syndrome) following surgery of parotid tumors

Morfit, H. Mason; Kramish, David

doi:10.1016/0002-9610(61)90583-9

Cited by 34 publications

(12 citation statements)

References 4 publications

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“…The sensory fibres of the auriculotemporal nerves are distributed in fine branches over the preauricular and temporal areas, in part via the terminal branches of the facial nerve. 25 …”

Section: Pathophysiologymentioning

confidence: 99%

Frey's syndrome and parotid surgery

1998

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“…The sensory fibres of the auriculotemporal nerves are distributed in fine branches over the preauricular and temporal areas, in part via the terminal branches of the facial nerve. 25 …”

Section: Pathophysiologymentioning

confidence: 99%

Frey's syndrome and parotid surgery

1998

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“…The nerve fibers subsequently innervate the sweat glands of the overlying skin causing gustatory sweating. 2 The parasympathetic innervation originates in the brain stem at the superior salivary nucleus, travels with the ninth cranial nerve to enter the middle ear as Jacobson's nerve, and then emerges at the roof of the petrous pyramid as the lesser superficial petrosal nerve. It then passes through the foramen ovale to synapse at the otic ganglion at the infratemporal fossa.…”

Section: Discussionmentioning

confidence: 99%

Platysma muscle-cervical fascia-sternocleidomastoid muscle (PCS) flap for parotidectomy

Kim

Mathog

1999

Head Neck

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Background Parotidectomy is useful in the treatment of benign and malignant neoplasms of the parotid gland, but often leads to sequelae of facial deformity and Frey's syndrome. This paper presents a retrospective review of parotidectomy results in 21 consecutive patients treated with either traditional techniques or with the rotation and advancement of combined platysma muscle‐cervical fascia‐sternocleidomastoid flap (PCS). Methods The surgical procedures utilized for removal and reconstruction are described. Information on appearance and function was obtained by analysis of hospital and office records and telephone questionnaire for patients with and without the flap. Results Of the 21 patients eligible for this study, only 9 of 10 patients with the PCS flap and 10 of 11 patients without the flap provided sufficient data for analysis. In the flap group all 9 patients either noted a mild fullness on the operated side or no difference between sides. In the nonflap group, 4 patients felt they had a moderate depression, 2 patients noted a mild depression, and 4 patients noted no difference between sides. Frey's syndrome was classified as mild in 2 patients in the PCS group, whereas in the nonflap group, 4 patients thought it was mild and 1, severe. Complications were rare in either group. Conclusion The PCS flap prevents deformity and contributes to patient satisfaction following parotidectomy. The flap helps to prevent Frey's syndrome and is not associated with an increase in postoperative complications. The flap is recommended following removal of nonrecurrent or low‐grade malignant parotid tumors. © 1999 John Wiley & Sons, Inc. Head Neck 21: 428– 433, 1999.

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“…The incidence of Frey syndrome after parotidectomy is ∼94% when a starch iodine test is performed, 4 but only ∼12 to 54% in patients who are symptomatic. 5 6 It is believed to be caused by aberrant regeneration of the injured parasympathetic nerve fibers of the parotid gland. The nerve fibers subsequently innervate the sweat glands of the overlying skin causing gustatory sweating begin within 2 weeks to 2 years.…”

Section: Introductionmentioning

confidence: 99%

“…The nerve fibers subsequently innervate the sweat glands of the overlying skin causing gustatory sweating begin within 2 weeks to 2 years. 6 …”

Section: Introductionmentioning

confidence: 99%

Sternocleidomastoid Muscle Flap after Parotidectomy

Nofal

Mohamed

2015

Int Arch Otorhinolaryngol

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Introduction Most patients after either superficial or total parotidectomy develop facial deformity and Frey syndrome, which leads to a significant degree of patient dissatisfaction. Objective Assess the functional outcome and esthetic results of the superiorly based sternocleidomastoid muscle (SCM) flap after superficial or total parotidectomy. Methods A prospective cohort study for 11 patients subjected to parotidectomy using a partial-thickness superiorly based SCM flap. The functional outcome (Frey syndrome, facial nerve involvement, and ear lobule sensation) and the esthetic results were evaluated subjectively and objectively. Results Facial nerve palsy occurred in 5 cases (45%), and all of them recovered completely within 6 months. The Minor starch iodine test was positive in 3 patients (27%), although only 1 (9%) subjectively complained of gustatory sweating. The designed visual analog score completed by the patients themselves ranged from 0 to 3 with a mean of 1.55 ± 0.93; the scores from the blinded evaluators ranged from 1 to 3 with a mean 1.64 ± 0.67. Conclusion The partial-thickness superiorly based SCM flap offers a reasonable cosmetic option for reconstruction following either superficial or total parotidectomy by improving the facial deformity. The flap also lowers the incidence of Frey syndrome objectively and subjectively with no reported hazard of the spinal accessory nerve.

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Auriculotemporal syndrome (Frey's syndrome) following surgery of parotid tumors

Cited by 34 publications

References 4 publications

Frey's syndrome and parotid surgery

Frey's syndrome and parotid surgery

Platysma muscle-cervical fascia-sternocleidomastoid muscle (PCS) flap for parotidectomy

Sternocleidomastoid Muscle Flap after Parotidectomy

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